Michael Leo Mizell, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

15069 Issued in TX

Practice address

7700 San Felipe St Ste 250
Houston, TX 77063-1634

Phone

(713) 781-5548

Fax

(713) 781-6876

NPI assigned

Jul 10, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• TX SDS II, LLC

  • Pediatric Dentistry
  • Houston, TX
  • NPI 1346013356

  Orthodontics and Dentofacial Orthopedics

  NPD (past)
• TX SDS II, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Houston, TX
  • NPI 1619730827
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1306044664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 SAN FELIPE ST STE 250",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770631634",
            "telephone_number": "713-781-5548",
            "fax_number": "713-781-6876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 SAN FELIPE ST STE 250",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770631634",
            "telephone_number": "713-781-5548",
            "fax_number": "713-781-6876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZELL",
        "first_name": "MICHAEL",
        "middle_name": "LEO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "15069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitzi T. Jimenez MD PA
• Oyuki Miwa Saldivar, FNP-BC
• Simone Joelle Mixon, DPT
• Christina Yumi Miyake, MD
• Michael James Mize, LPC
• Elizabeth Ann Mizerik, CGC
• Melissa Emily Mizerik, DO
• Jill Mizokawa, MOTR/L
• Eli M Mizrahi, M.D.
• Ruth Mizu

• Orthodontics and Dentofacial Orthopedics Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.